Behavioral Health Rehabilitation Services (BHRS, or Wraparound)
What is BHRS?
Behavioral Health Rehabilitation Services (BHRS), also called referred to often as
"wraparound," is a process designed to improve the lives of children and adolescents with complex psychological or behavioral needs. It is not a specific program or protocol. Therapy is available seven days a week and becomes part of the daily routine. The process starts with the building of a team comprised of persons from multiple systems collaborating together to develop and carry out an individualized treatment plan. The team includes highly-trained mental health professionals, support staff, family members and when possible, the child, among other persons involved with the consumer's care. This may include educators, daycare centers or other caretakers, case managers, and others. Services are available in the home, community, and/or the educational setting.
Hours prescribed will vary, depending on the severity of impairment. Sessions are scheduled according to the family's needs, and are available day or night, and also on weekends when necessary.
What are the Goals of BHRS?
- Assessing the child's needs and strengths
- Setting goals for the child or adolescent
- Setting goals for the family
- Developing an individualized program designed exclusively for the child or adolescent and their family
- Evaluating treatment on an ongoing basis
- Setting goals for discharge
Who is on the BHRS team?
- Psychologist - A clinical licensed psychologist who conducts an evaluation to assess the needs of the individual.
- Behavioral Specialist Consultant (BSC) - A master's level mental health professional who works with the child, family, school, and any other care provider, including County MH/MR case managers. The BSC writes the treatment plan that other members of the team carry out. The BSC supervises the TSS to ensure the treatment plan is followed.
- Mobile Therapist (MT) - A master's level clinician who provides individual therapy, usually on a weekly basis, for the child or adolescent. Therapy can be done at home, in school, or in the community.
- Therapeutic Staff Support (TSS) - Works one-on-one with child or adolescent on a regular basis. The primary role of the TSS is to make sure all elements of the treatment plan are being fulfilled. The TSS works with the child at home, in school, and in the community. Typically, a TSS is a college graduate (at least bachelor's level) with at least one year of experience in the mental health or a human service field.
Who Qualifies for BHRS?
Children with a qualifying mental health diagnosis or developmental delay qualify for a Medical Assistance card, regardless of family income. We realize that the application process is a daunting task, especially for families who have just received a diagnosis for their loved one. Families who are impacted by the autism spectrum and have additional private insurance coverage may also receive services under "Act 62." Act 62 mandates that children from birth to 21 receive up to $36,000 per year under their insurance policy. You may wish to contact our Director of Family Support Services for guidance through this procedure, and also download our resource guide for the Medical Assistance process, located in the "Download Brochures" section of our website.
Additionally, if you are searching for services for a child on the autism spectrum, or if you suspect your child may have autism, you may wish to call our Director of Family Support Services. Catherine Hughes, who works in the FBR Corporate Office, is also a parent to an adolescent previously diagnosed with autism. She can help guide you through the process of obtaining services. Information packets are also available to your family at no cost or obligation. Though our packets are more specific to autism services, many of our resources and general information for obtaining services and medical assistance remains the same.
How Do I Enroll in BHRS?
To schedule an evaluation to see if your loved one meets medical necessity criteria for these services, you may call the FBR office nearest to you. You may speak with any Administrative Supervisor to schedule an evaluation and/or start the intake process. If you are currently receiving services and would like to transfer your care to Family Behavioral Resources, we will help you with the transition.
